Tynbil: Know the *real* price for healthcare services

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier	Facility/Professional	Modifier	Typical Low	Median	Typical High
Aetna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $42.66 / $89.13 / $213.80	Facility	26	$42.66	$89.13	$213.80
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $229.09 / $380.19 / $1,000.00	Professional		$229.09	$380.19	$1,000.00
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $48.98 / $75.86 / $218.78	Professional	26	$48.98	$75.86	$218.78
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $186.21 / $275.42 / $660.69	Professional	TC	$186.21	$275.42	$660.69
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $275.42 / $363.08 / $851.14	Professional		$275.42	$363.08	$851.14
Anthem BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $52.48 / $67.61 / $144.54	Professional	26	$52.48	$67.61	$144.54
Anthem BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $223.87 / $281.84 / $660.69	Professional	TC	$223.87	$281.84	$660.69
CDPHP Facility/Professional Professional Modifier Typical Low / Median / Typical High $93.33 / $389.05 / $478.63	Professional		$93.33	$389.05	$478.63
Cigna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $15.49 / $72.44 / $102.33	Facility	26	$15.49	$72.44	$102.33
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $269.15 / $562.34 / $1,445.44	Professional		$269.15	$562.34	$1,445.44
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $46.77 / $100.00 / $295.12	Professional	26	$46.77	$100.00	$295.12
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $208.93 / $489.78 / $1,148.15	Professional	TC	$208.93	$489.78	$1,148.15
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $323.59 / $446.68 / $676.08	Professional		$323.59	$446.68	$676.08
Emblem Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $61.66 / $85.11 / $134.90	Professional	26	$61.66	$85.11	$134.90
Emblem Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $257.04 / $363.08 / $549.54	Professional	TC	$257.04	$363.08	$549.54
Excellus BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $169.82 / $323.59 / $575.44	Professional		$169.82	$323.59	$575.44
Excellus BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $52.48 / $83.18 / $120.23	Professional	26	$52.48	$83.18	$120.23
Excellus BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $102.33 / $263.03 / $457.09	Professional	TC	$102.33	$263.03	$457.09
Highmark BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $134.90 / $134.90 / $138.04	Professional	26	$134.90	$134.90	$138.04
MVP Health Care Facility/Professional Professional Modifier Typical Low / Median / Typical High $398.11 / $436.52 / $501.19	Professional		$398.11	$436.52	$501.19
MVP Health Care Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $75.86 / $91.20 / $97.72	Professional	26	$75.86	$91.20	$97.72
MVP Health Care Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $316.23 / $346.74 / $407.38	Professional	TC	$316.23	$346.74	$407.38
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $275.42 / $416.87 / $1,174.90	Professional		$275.42	$416.87	$1,174.90
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $56.23 / $79.43 / $223.87	Professional	26	$56.23	$79.43	$223.87
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $234.42 / $331.13 / $831.76	Professional	TC	$234.42	$331.13	$831.76
Univera Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $52.48 / $69.18 / $158.49	Facility	26	$52.48	$69.18	$158.49
Univera Facility/Professional Professional Modifier Typical Low / Median / Typical High $229.09 / $389.05 / $758.58	Professional		$229.09	$389.05	$758.58
Univera Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $52.48 / $83.18 / $162.18	Professional	26	$52.48	$83.18	$162.18
Univera Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $194.98 / $309.03 / $588.84	Professional	TC	$194.98	$309.03	$588.84

New York rates for HCPCS 78451